NPI | 1063596880 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLYSON ERICA ODACHOWSKI President/Registered Dietitian 716-626-7415 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133N00000X Nutritionist |
133V00000X Dietitian, Registered (Licence: NY 005917-1) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2023-05-02 |